DHS
DHR-DHS Forms
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Additional Info
Product # Size Description Price
ABAWDS-1-2016 FLYER C ABLE BODIED ADULTS WITHOUT DEPENDENTS SNAP $0.00
AUTH REL INFO R5-25 C AUTHORIZATION FOR RELEASE OF INFORMATION ENG/SPAN 8.5X11 $0.00
AUTHRELEASEBCW R5-25 C AUTHORIZATION FOR RELEASE INFO BCW- 1PG-2SIDE ENG/SPAN 8.5X11 $0.00
CASERECORDINFO R5-25 C NOTICE OF CASE RECORD INFO AVAILABLE TO PARENT/ GUARDIAN $0.00
CASERECORDINFOSP5-25 C NOTICE OF CASE RECORD INFO AVAILABLE TO PARENT/GUARDIAN $0.00
CHLDINFOSTERCR R5-24 C ENGLISH WHEN YOUR CHILD IS PLACED IN FOSTER CARE 8.5X11 $0.00
CHLDINFOSTERCRSP5-24 C SPANISH- WHEN YOUR CHILD IS PLACED IN FOSTER CARE 8.5X11 $0.00
CITIZEN AFFI RV12-24 C CITIZENSHIP AFFIDAVIT REV12-24 8.5X11 50#TEXT BLACK INK $0.00
CPSCGVRGUIDER4-23ENG C CPS INVESTIGATION CAREGIVERS GUIDE BROCHURE- ENGLISH $0.00
CPSCGVRGUIDER4-23SP C CPS INVESTIGATION CAREGIVERS GUIDE BROCHURE- SPANISH $0.00
DHR-197 REV 9-05 C TANF Sanction/Panel Review Guide $0.00
DHS-1275 REV 2-19 C 8.5X11 VOTER REGISTRATION APPL COVER LETTER REV 2-19 $0.00
DHS-1276 REV 5-12 C VOTER REGISTRATION DECLARATION STATEMENT $0.00
DHS-1277 C ST OF GA APP FOR VOTER REGISTRATION $0.00
DHS-138 REV 12-24 C NOTICE REQUIRE TO COOPERATE CHILD SUPPORT 8.5X11 2 SIDED $0.00
DHS-138 REV 6-16 C NOTICE REQUIRE TO COOPERATE CHILD SUPPORT 8.5X11 2 SIDED $0.00
DHS-138 SP REV 12-24 C SPANISH NOTICE REQ. COOPERATE CHILD SUPPORT 2 SIDED $0.00
DHS-138SP REV 6-16 C SPANISH NOTICE REQ. COOPERATE CHILD SUPPORT 2 SIDED $0.00
DHS-139 REV 12-2024 C CONTRIBUTION STATEMENT ENGLISH 8.5X11 2PART NCR W/C $0.00
DHS-139SP REV12-2024 C CONTRIBUTION STATEMENT SPANISH 8.5X11 2PART NCR W/C 2-SIDED $0.00
DHS-173 REV 6-10 C VERIFICATION CHECKLIST $0.00
DHS-173A REV 6-16 C APPOINTMENT LETTER 8.5X11 2PART NCR W/C $0.00
DHS-173ASP REV 6-16 C SPANISH APPOINTMENT LETTER 8.5X11 2PART NCR W/C $0.00
DHS-173SP REV 6-10 C VERIFICATION CHECKLIST (SP) $0.00
DHS-218 REV 1-14 C CITIZENSHIP/IDENTITY VERIFY CKLIST $0.00
DHS-218SP REV 1-14 C CITIZENSHIP/IDENTITY VERIFY CKLIST (SP) $0.00
DHS-238 REV 8-11 C MEDICALLY NEEDY BUDGET SHEET $0.00
DHS-296 REV 10-25 C ENGLISH EXPEDITED FOOD STAMP SCREENING GUIDE $0.00
DHS-297 REV 1-2026 C ENG APPLICATION FOR BENEFITS 20PG 50# TEXT 4COLOR $0.00
DHS-297A REV 1-2026 C ENG. RIGHTS & RESPONSIBILITIES 100/PK 16PG 50#TXT 4/4COLOR $0.00
DHS-297A SP REV 1-26 C SPAN RIGHTS & RESPONSIBILITIES 20PG BOOKLKET 50#TXT 4/4COLOR $0.00
DHS-297SP REV 1-26 C SPAN. APPLICATION FOR BENEFITS 24 PG BOOKLET 50#WHITE TXT 4/4 $0.00
DHS-298 REV 10-24 C ENG SENIOR SNAP APPLICATION 100/PK 50# WHITE TX 4/4 12PG $0.00
DHS-298SP REV 10-24 C SPAN SENIOR SNAP APPLICATION 100/PK 12PG 50# WHITE TX 4/4 $0.00
DHS-508 REV 1-2026 C FOOD STAMP/ MEDICAID/ TANF ENGLISH RENEWAL FORM 50# TXT $0.00
DHS-508SP REV 1-26 C SPANISH FOOD STAMP/ MEDICAID TANF RENEWAL FORM 24PG BOOKLET $0.00
DHS-521 REV 7-18 C OFI SERVICES BROCHURE $0.00
DHS-521SP REV 7-18 C SPANISH OFI SERVICES BROCHURE $0.00
DHS-522 REV 2-13 C WHAT EVERY WOMAN NEEDS TO KNOW BROCHURE $0.00
DHS-522SP REV 2-13 C WHAT EVERY WOMAN NEEDS TO KNOW BROCHURE (SP) $0.00
DHS-524 REV 11-15 C TEMPORARY ASSIST FOR NEEDY FAMILIES $0.00
DHS-524SP REV 11-15 C TEMPORARY ASSIST FOR NEEDY FAMILIES $0.00
DHS-528 REV 10-24 C DHS-528 REV 10-24 50#TEXT ENGLISH SNAP PERIODIC REPORT $0.00
DHS-528SP REV 10-24 C SPANISH SNAP PERIODIC REPORT FORM 8PG 4COLOR 8.5X11 $0.00
DHS-5459 REV 7-16 C AUTHORIZATION FOR RELEASE OF INFORMATION 8.5X11 50# WHITE $0.00
DHS-5460 REV 12-23 C HIPPA NOTICE OF PRIVACY PRACTICES REV 12-23 50# TEXT $0.00
DHS-5460SP REV 12-23 C SPANISH HIPPA NOTICE PRIVACY PRACTICES REV 12-23 50# TEXT $0.00
DHS-5667 REV 2-11 C HEAD OF HOUSEHOLD INFORMATION $0.00
DHS-6000 REV 8-17 C APPLICATION FOR ENERGY ASSISTANCE $0.00
DHS-6000A REV 9-21 C LIHEAP COOLING APPL ENERGY ASSIST (BLUE/CANARY/PINK) $0.00
DHS-6000C REV 7-21 C LIHWAP APPLICATION FOR WATER ASSISTANCE (GREEN) 8.5X14 $0.00
DHS-6003 REV 11-10 C EAP INCOME WORKSHEET RENT VERIFICATION $0.00
DHS-6005 REV 10-11 C REGULATED NATURAL GAS PROVIDER REFERRAL $0.00
DHS-6009 REV 11-10 C EAP VERIFICATION CHECKLIST $0.00
DHS-6019 REV 11-10 C EAP BATCH HEADER $0.00
DHS-6020 REV 11-10 C ERROR CORRECTION FORM $0.00
DHS-6021 REV 11-10 C EAP - DECLARATION OF ZERO INCOME $0.00
DHS-6022 REV 10-17 C LIHEAP AUTHORIZATION FOR REL OF GENERAL CONFIDENTIAL $0.00
DHS-700 REV 11-25 C 700 English Rev 11-25 100/PK 8.5X11 8PG BK 50#TEXT $0.00
DHS-700SP REV 11-25 C SPANISH Q-TRACK APPLICATION 100/PK 8.5X11 8PG BK 50# TEXT $0.00
DHS-701 REV 10-12 C Q-TRACK BROCHURE $0.00
DHS-831 REV 2018 C TEFAP- EMERGENCY FOOD ASSISTANCE PROGRAM BROCHURE $0.00
DHS-854 REV 7-23 C ENGLISH APPL. GA DISASTER FOOD STAMP PROGRM 8PG BK 50# TEXT $0.00
DHS-854SP REV 7-23 C SPANISH APPL. GA DISASTER FOOD STAMP PROGRAM 8PG BK 50# TEXT $0.00
DHS-855 REV 5-11 C DISASTER FOOD STAMP PROGRAM WORKSHEET $0.00
DHS-855SP REV 5-11 C DISASTER FOOD STAMP PROGRAM WORKSHEET (SP) $0.00
DHS-901 REV 11-23 C COMMODITY SUPPLEMENTAL FOOD PROGRAM APPLICATION $0.00
DHS-901SP REV 11-23 C SPANISH COMMODITY SUPPLIMENTAL FOOD PROGRAM APPLICATION 2SIDE $0.00
DHS-902 REV 9-23 C ELIGIBILITY NOTIFICATION LETTER 2 PART NCR BLACK INK $0.00
DHS-902SP REV 9-23 C SPANISH ELIGIBILITY NOTIFICATI LETTER 2 PART NCR BLACK INK $0.00
DHS-903 REV 1-25 C ENGLISH PARTICIPANT AGREEMENT 2PART NCR W/C BLACK INK $0.00
DHS-903SP REV 11-15 C PARTICIPANT AGREEMENT (SP) $0.00
DHS-904 REV 11-23 C CLOSURE NOTIFICATION LETTER 2 PART NCR $0.00
DHS-904SP REV 11-23 C SPANISH CLOSURE NOTIFICATION LETTER 8.5X11 2 PART NCR 1SIDE $0.00
DHS-905 REV 11-15 C VERIFICATION OF CERTIFICATION FORM $0.00
DHS-905SP REV 11-15 C VERIFICATION OF CERTIFICATION FORM (SP) $0.00
DHS-906 REV 11-23 C DISQUALIFICATION NOTICE COMMODITY SUPPLEMENT FOOD $0.00
DHS-906SP REV 11-23 C SPANISH DISQUALIFICATION NOTICE 1 SIDE BLACK INK $0.00
DHS-907 REV 11-15 C AUTHORIZED REPRESENTATIVE DESIGNATION $0.00
DHS-907SP REV 11-15 C AUTHORIZED REPRESENTATIVE DESIGNATION (SP) $0.00
DHS-909 REV 9-15 C WAITING LIST $0.00
DHS-910 REV 9-23 C COMMODITY ISSUANCE REGISTER 8.5X11 20# TEXT $0.00
DHS-911 REV 9-15 C LDA MONTHLY FOOD DISTRIBUTION REPORT $0.00
DHS-912 REV 7-19 C VERIFICATION CHECKLIST 8.5X11 2 PART NCR 1 SIDED $0.00
DHS-912SP REV 7-19 C VERIFICATION CHECKLIST SPANISH $0.00
DHS-913 REV 3-25 C ENGLISH RECERTIFICATION FORM 50# TEXT BLACK INK 1PG 2-SIDED $0.00
DHS-914 REV 11-23 C RECERTIFICATION STATUS NOTIFICATION $0.00
DHS-914SP REV 11-23 C SPANISH RECERTIFICATION STATUS NOTIFICATION $0.00
DHS-915 REV 1-25 C ENGLISH RECERTIFICATION LETTER 2PART NCR W/C 1 SIDE BLACK INK $0.00
DHS-915SP REV 7-19 C RECERTIFICATION LETTER A SPANISH $0.00
DHS-916 REV 1-25 C ENGLISH RECERTIFICATION LETTER WL WAITLIST PARTICIPANT 8.5X11 $0.00
DHS-916SP REV 7-19 C RECERTIFICATION LETTER WL SPANISH $0.00
DHS-919 REV 11-16 C CSFP WRITTEN NOTICE FORM $0.00
DHS-920 REV 11-16 C CSFP BENEFICIARY REFERRAL REQUEST FORM $0.00
DHS-928ENG-SP C APPLYING FOR BENEFITS $0.00
DHS-929ENG-SP C FORGOT USER ID/PASSWORD $0.00
DHS-930ENG-SP C RENEWING BENEFITS $0.00
DHS-931ENG-SP C REPORTING CHANGES $0.00
DHS-932ENG-SP C SUBMITTING DOCUMENTS $0.00
DHS-933 REV 4-17 C SELF SERVICE PROMPT ENGLISH $0.00
DHS-933SP REV 4-17 C SELF SERVICE PROMPT SPANISH $0.00
DHS-94A AP A REV1-24 C ENG HEALTH COVERAGE FROM JOBS 8.5X11 20# BOND 2 SIDED $0.00
DHS-94A REV 5-25 C ENGLISH APPL HEALTH COVERAGE & HELP PAYINGCOST 8.5X11 12PG $0.00
DHS-94A SP REV 5-25 C SPANISH APPL HEALTH COVERAGE & HELP PAYING COST 8.5X11 12PG $0.00
DHS-94ASP ATB RV7-23 C SPANISH ATT B AMEICAN INDIAN OR ALASKAN NATIVE 50#TXT 1PAGE $0.00
DHS-95 REV 10-12 C CONTACT LTR CKLIST FOR FAMILY MEDICAID $0.00
DHS-95SP REV 10-12 C CONTACT LTR CKLIST FOR FAMILY MEDICAID $0.00
DHS-981 REV 3-11 C CONTACT LETTER/WAGE VERIF CKLIST ABD MED $0.00
DHS-985 REV 2-10 C ABD MEDICAID BURIAL DESIGNATION $0.00
DHS94A AT B REV 7-23 C ENGLISH- AMERICAN INDIAN OR ALASKA NATIVE FAMILY MEMBER $0.00
DHS94A AT C REV 7-23 C ENGLISH- ASSISTANCE WITH COMPLETING THIS APPLICATION $0.00
DHS94A AT D REV10-25 C ENGLISH PATHWAYS PROGRAM ATTACHMENT D MEDICAL ASSIST $0.00
DHS94ASP AT A RV1-24 C SPANISH HEALTH COVERAGE FROM JOBS 50#TXT 2SIDED 2COLOR $0.00
DHS94ASP AT C R4-22 C SPANISH ASSISTANCE W COMPLETE THIS APPLICATION 1PG-1SIDE $0.00
DHS94ASP AT D R10-25 C SPANISH PATHWAYS PROGRAM ATTACHMENT D MEDICAL ASSIST $0.00
FAIRHEARING REV 5-25 C NOTICE OF RIGHT FAIR HEARING 8.5X11 2SIDE ENGLISH/ SPANISH $0.00
FERPA REV 5-25 C FAMILY EDU RIGHTS &PRIVACY ACT CONSENT 2SIDE ENG/SPAN $0.00
FOSTERPARENT BOR C REV 5-24 ENGLISH FOSTER PARENT BILL OF RIGHTS 8.5X11 4-COLOR $0.00
FOSTERPARENTSP BOR C REV5-24 SPANISH FOSTER PARENT BILL OF RIGHTS 8.5X11 2SIDED $0.00
FSSCAREGUIDENGR4-23 C FAMILY SUPPORT SERVICES CAREGIVERS GUIDE REV 4-23 $0.00
FSSCAREGUIDSPR4-23 C SPANISH FAMILY SUPPORT SERVICE CAREGIVERS GUIDE REV 4/23 BROC $0.00
HOUSEHOLD DATA R7-22 C HOUSEHOLD DATA COLLECTION FORM - 100/PACK $0.00
LIHEAP FAIRHEAR 3-23 C LIHEAP FAIR HEARING POLICY MANUAL REV 3-23 4PG $0.00
PERMTIMELINE REV 2-2 C REV 2-22 PERMANENCY TIMELINE 80# GLOSS TEXT 11X17 DOUBLE SD $0.00
PERMTIMELINESP R2-22 C PERMANENCY TIMELINE SPANISH 80# GLOSS TEXT COLOR $0.00
SAFETYPLAN ENG R5-25 C GA SAFETY PLAN ENGLISH 8.5X11 2PART NCR W/C COLOR INK $0.00
SAFETYPLANSP R5-25 C GA SAFETY PLAN SPANISH 8.5X11 2PART NCR W/C 1SIDE COLOR INK $0.00
SUPPORTAGREE ENG5-25 C SAFETY PLAN SUPPORT PERSON AGREEMENT ENGLISH 2PART W/C $0.00
SUPPORTAGREESP R5-25 C SAFETY PLAN SUPPORT PERSON AGREEMENT- SPANISH 8.5X11 $0.00